Jackie Nalley, MS, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22847 Issued in FL

Practice address

1100 SE Federal Hwy
Stuart, FL 34994-3823

Phone

(772) 320-0770

Fax

(772) 320-0181

NPI assigned

May 18, 2016

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindful Medical and Health Services LLCGroup PAC ID 4981097318, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Medical and Health Services LLC

  dba iMind Mental Health Solutions

  • Mental Health Counselor
  • Port St Lucie, FL
  • NPI 1720759954
  Medicare reassignment Care Compare group NPD
• Helping People Succeed

  • Case Management Agency
  • Stuart, FL
  • NPI 1932589645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1225485493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 SW AQUARIUS LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349844486",
            "telephone_number": "734-564-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943823",
            "telephone_number": "772-320-0770",
            "fax_number": "772-320-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLEY",
        "first_name": "JACKIE",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Nagle, DC
• Jennifer Morse Nahas, ARNP
• Gabrielle Nahass
• Celica Najera
• Justin Nalerio
• Phionah Namirembe, RBT
• Chelsea Naples
• Joshua Napoles
• Taylor Hunter Napoli, FNP
• Daniel Jesus Naranjo

• Mental Health Counselor in Stuart, FL
• Providers in Stuart, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.